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Photography Consent

I hereby provide complete permission to American Safety Programs & Training, Inc. for the use

of both my photograph and name (if necessary) in any publication or advertising materials, whether

printed or electronic. This consent extends to waiving all rights of privacy or compensation that I

may have in connection with the utilization of my photograph and/or name.

Photography consent & release form

Date of birth
Month
Day
Year

Contact

150 Niantic Ave

Providence, Rhode Island 02907​​

Tel: 401-273-6900

info@asptems.com

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